Individual
DR. BERNADETTE ANNE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
72 PAOLI PIKE, PAOLI, PA 19301-1831
(610) 647-1666
(610) 889-7547
Mailing address
222 ORCHARD RD, PAOLI, PA 19301-1116
(610) 408-0997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028916L
PA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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